Sažetak
Ever more public health professionals want to have accurate data available at any time of the day. In the last decade, the computerization of the healthcare system has been introduced at an ever faster pace, resulting in drastic changes in providing healthcare services. Owing to technological advances, data and information are more available than ever before. However, this also implies that personal data confidentiality is even more difficult to protect. This is best exemplified by modern healthcare in gerontology. The geriatric patient/gerontologic insuree to physician relationship has transformed into the geriatric patient/geriatric insuree to gerontologic healthcare/social team relationship. Development of public health information technologies will further increase demand for a greater quantity and quality of data, on treatment outcomes in particular. The aim is to develop a system, i.e. subsystem that will enable interactive digital management of knowledge in the field of gerontology. The aim of managing information systems in gerontology is to support the collection, search, and management of public health data and information for the promotion of elderly healthcare. Professionally and methodologically, the entry and processing of nutritional status (malnutrition/obesity) should be based on the following determinants: monitoring, studying conditions in the elderly according to age groups (early old age, middle old age, and deep old age), sex, occupation, primary diagnosis, secondary diagnosis, functional ability according to physical mobility and mental independence, body mass index, upper arm circumference, screening entity, and features of negative health behaviour (physical inactivity, alcoholism, and smoking habit). Under current circumstances, gerontologic insurees and geriatric patients are not recognized adequately in the healthcare system. A great deal of documentation is kept as classic paperwork. There is no connection between healthcare and social welfare institutions, which is necessary in case of gerontologic insurees and geriatric patients. GeroS is strongly connected with CEZIH in the monitoring and evaluation of healthcare needs and functional ability of gerontologic insurees and geriatric patients. If only one healthcare or social welfare institution enters the required data from their respective field of work via the GeroS/CEZIH web form, all other professionals will see the data for which they are authorized. Currently, healthcare and social welfare systems do not exchange data directly by computer. GeroS/CEZIH provides a link between the two systems, offering the users a uniform insight into the data relevant to the care of the geriatric insuree across three healthcare levels, old people’s homes, and foster families within the social welfare system. A gerontologic workshop was held within the frame of GeroS/CEZIH, aimed at the implementation of the NRS 2002 web service – nutritional screening modified according to NRS 2002 tool for gerontologic insurees and geriatric patients. The objective of the web service for nutritional status calculation (by the NRS 2002 method) is monitoring and reporting of nutritional status of gerontologic insurees and geriatric patients because of the high prevalence of malnutrition in the deep old age group (age >85). The NRS 2002 web service will be used by healthcare professionals in hospitals (in particular those for long-term treatment), old people’s homes, as well as all physicians, general/family medicine teams, geriatric nurses at old people’s homes, and home-visiting nurses in primary healthcare. The healthcare also includes nutritionists additionally educated in the field of gerontology who take part in creating appropriate gerontologic menus in order to provide nutritional support to underweight gerontologic insuree or modify current menus. Therefore, it is necessary to monitor the nutritional status of the elderly (obesity and malnutrition) via the Panel integrated in the existing CEZIH.